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The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that lay between the initial coverage limit and the catastrophic coverage threshold when the consumer was a member of a Medicare Part D prescription-drug program administered by the United States federal government.
The donut hole is closed, but that doesn't mean there's not a coverage gap. ... How Part D coverage works. Medicare part D plans have four parts: the deductible stage, initial coverage, the ...
Will Medicare's so-called "donut hole" still exist? No, according to Medicare. "Because of the prescription drug law, the coverage gap ends on Dec. 31, 2024," its website states .
The donut hole is a coverage gap that begins after you pass the initial coverage limit of your Part D plan. Your deductibles and copayments count toward this coverage limit, as does what Medicare ...
Prior to 2010, enrollees were required to pay 100% of their retail drug costs during the coverage gap phase, commonly referred to as the "doughnut hole.” Subsequent legislation, including the Affordable Care Act, “closed” the doughnut hole from the perspective of beneficiaries, largely through the creation of a manufacturer discount program.
Before 2025, when your out-of-pocket expenses for drugs hit a certain amount, you entered the donut hole. As of this year, however, Medicare replaced the donut hole with a cap of $2,000 on your ...